| Mimbres Internal Medicine Pa | |
|
122 S Gold Ave Suite 3 Deming NM 88030-3755 | |
| (575) 544-7280 | |
| (575) 544-7281 |
| Full Name | Mimbres Internal Medicine Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 122 S Gold Ave, Deming, New Mexico |
| Authorized Official Name and Position | Bassam Al-homsi (OWNER) |
| Authorized Official Contact | 5755447280 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mimbres Internal Medicine Pa 122 S Gold Ave Suite 3 Deming NM 88030-3755 Ph: (575) 544-7280 | Mimbres Internal Medicine Pa 122 S Gold Ave Suite 3 Deming NM 88030-3755 Ph: (575) 544-7280 |
| NPI Number | 1083728109 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 04/19/2012 |
| Medicare PECOS PAC ID | 7719971522 |
|---|---|
| Medicare Enrollment ID | O20040414000183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083728109 | NPI | - | NPPES |
| NM011036 | Other | NM | BLUE CROSS BLUE SHIELD |
| A8242 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Bassam Al Homsi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629021233 PECOS PAC ID: 3678567385 Enrollment ID: I20050621000440 |
| Provider Name | George W Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235193228 PECOS PAC ID: 8729023734 Enrollment ID: I20050621000586 |
| Provider Name | Sara L Campbell |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1134434525 PECOS PAC ID: 4587842406 Enrollment ID: I20110624000022 |
| Provider Name | Mark D Osmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508183138 PECOS PAC ID: 3072787092 Enrollment ID: I20120430000173 |
| Provider Name | Jenifer M Smyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427419357 PECOS PAC ID: 6901185529 Enrollment ID: I20171115002411 |
| Provider Name | Shawna Leann Wallace Dominguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568015873 PECOS PAC ID: 8921336181 Enrollment ID: I20190826002376 |
Mimbres Health Maintenance Associates P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 850 W Florida St, Deming, NM 88030 Phone: 505-544-2800 Fax: 505-544-2801 | |
Mimbres Valley Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 905 S 8th St Ste B, Deming, NM 88030 Phone: 575-543-7200 Fax: 575-543-7250 | |
Ben Archer Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1300 S Iron St, Deming, NM 88030 Phone: 575-543-1017 Fax: 575-544-0115 | |
Deming Clinic Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 905 S 8th St Ste A, Deming, NM 88030 Phone: 575-543-7200 | |
Ben Archer Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 125 Chaparrel Blvd Nw, Deming, NM 88030 Phone: 575-546-4800 Fax: 575-546-0685 | |
Deming Bh Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 W Hickory St, Deming, NM 88030 Phone: 505-820-3466 Fax: 505-992-4990 |